| Doctor Name: | DR. JOHN STAYNER LANDWARD |
| NPI Number: | 1922377308 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DSW |
| License Number: | 113157-3501 |
| Business Practice Address: | 3433 E 7590 S Cottonwood Heights, UT - 841215439 |
| Business Phone Number: | 8012720714 |
| Business Fax Number: | |
| Mailing Address: | 3433 E 7590 S, COTTONWOOD HEIGHTS |
| State: | UT |
| Postal Code: | 841215439 |
| Phone Number: | 8012720714 |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2011 |
| NPI Last Update Date: | 12/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 113157-3501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |